Loading...
05-2004 (RPL){-t . A. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: [05.-A0002.00 Property Address: APN: 79771 PARKWAY ESPLANADE N Application description: 609-380-998-58 -293232- Property Zoning: POOL - RESIDENTIAL Application valuation: LOW DENSIT Applicant: Architect or T-v4t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LJ JUN " 01 2005 CITY OF LA QUINITA " J _ FuuA srn.� _ LICENSED CONTRACTOR'SDECLARATION ' ' I hereby affirm under penalty of perjury that I am licensed under provisions of'Chapter 9 (commencing with Section 7000) of Division 3 of the B ' a and Professionals Code, and my License is in full force and effect. License Class: 818835,, � License No.: EXE, T 1M I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter; improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by. .any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or . improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of pwpeny auliu Lando i 6r,p7a.aa tharoan, and whe oanVauty fvr the prnjnntr. atith 9 rnnrrar•tnr(al liransed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/01/05 Owner: PLACENTIA, AMBER 79-7.71 PARKWAY.ESPLANADE NORTH LA QUINTA, CA 92253 Contractor: --------------------------------- MC CALLUM POOLS 46576 VIA CELESTE INDIO, CA 92201 Lic. No.: EXEMPT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and willmaintaina certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 5685 Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any persoRif ner so as to become subject to the workers' compensation laws of California,, and aI s uld becom subject to the work ompensation provisions of Section 37000r Cod I shal rthwith comply w' t e"provisions.Date_1-01 ,WARNING: FAILURE E WORKE ' COMPENSATION CO ERAGE IS UNLAWFUL, ANDSHALL SUBJECT AN EMPLOIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,' INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1, Eagh 9BfSGf1 VDGl1 W. hose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a r25Ult Or TrIS 80pllCU11011, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or.following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced . within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify, that I have read this application and state that t above information is correct. I agree t omply with all city and county ordinances and state laws relating wldin onstru tion, and hereby, authori r presentatives of this county to enter upon the above -mention property for i p t n purpos s F , Application Number . . . . . 05-00002004. Permit . . MECH POOL Additional desc . Permit Fee 26.00 Plan "Check Fee 6.50 Issue Date Valuation 0 Expiration Date 11/28/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . 265.00 Plan Check Fee 172.25 Issue Date Valuation 26900 Expiration Date .11/28/05 Qty Unit Charge Per Extension BASE FEE 252.00 2.00 6.5000 THOU BLDG 25,001-50,000 13.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . 0 Expiration Date 11/28/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 .Permit PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee.. 8.25, Issue Date Valuation . . . . 0 Expiration Date 11/28/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.000U L''H PL$ WATER TNST/ALT/RDP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number 05-00002004 Special Notes and Comments . BE IN.PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 369.00 .00 .00 369.00 Plan Check Total 198.25 .00 .00 198.25 Grand Total 567.25 .0.0 .00 567.25 i LQPERMTT �5+18' RAISED SPA FW SPILLWAY SPA SQ=FT 35' PER 22' POOL SQ -FT 363' PER 80' 1-100 WATT LIGHT 1-300 WATT LIGHT TILE WATERLINE TILE. SPILLWAY . Ate. L S �IJ-+YI ✓�f � � o �L� CITY OF LA QUINTA SUB-CON-rRACTOR LIST JOB ADDRESS PERMIT NUMBER OWNER BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in'a stoppage of work and/or the voidance of building hermit. For each annlicahip trariP_ all infnrmatinn rnnttactcart hnln%wi moot hn tn.•1 h.. .,1:..-.,• ttn— C:L,tt ....t.I, . Trade / Classlflcatlon Contractor State..:Contractor s Lice . '.:. .':.:.;>. Of -. " : ' Wo keis Com ensationInsurance `:' ``'' Cit . Busine s License:' :. . Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. Fund, CalComp) Policy Number .(Format Varies) Exp. Date (xx/xx/xx) License Number Exp. Date (xxxx) (xx/xx/xx) EARTHWORK (C-12)4C-1AJA1-4 S I=tr/U� ~O --2 -o,b State STG� -��, KED ZZct 2,4 r,} - �. a(, 671 7 51,C4, CONCRETE (C.8).`� C) (� 6 S �- O Z oD 1 4 225 o b'< FRAMING ;(C-5) STRUCT: STEEL' (C751) e,'ti7 rc. >lr % 0 3 S�� - �l. o t-� �' �.1 °� �Jo - - 0G 1 - I MASONRY (C-29) PLUMBING (C-36) oo2, 4 q LATH: PLASTER (C-35) ' C� LIC1 -2p 0-3.0 w O' 1 tj ®� i tiOs DRYWALL (C-9) HVAC (C -20Y .: ELECTRICAL. (C-10)' ( S S Z� .� S� 1 J - / - O tom,`% j'7 ROOFING (C'--' SHEET METAL (C43) FLOORING GLAZING 1C7.17) INSULATION: (C-2).- C-2).SEWAGE .SEWAGEDISP. (C-42) PAINTING (C=33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C=53) ' c �o �' '� S �.T� .� C) ©